The disclosure relates to methods for attaching a dental implant surgical guide and a dental implant to a dental surgical site including: assembling an implant combination, positioning the dental implant surgical guide including a double open-ended guide cylinder at the dental surgical site; rotating the implant combination through the double open-ended guide channel; and attaching a cap comprising a hollow cylinder to the double open-ended guide channel so the rim of the implant mount body is sandwiched between the dental surgical guide and the cap. The disclosure further relates to a dental prosthesis apparatus including: an abutment; a dental implant; a dental implant surgical guide including a first and a second double open-ended guide cylinder connected by a support bar; an implant mount including a rim; and a cap operable to engage the dental implant surgical guide and sandwich the rim between the cap and the dental implant surgical guide.
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20. A dental implant system, comprising:
(a) a first dental implant assembly comprising a first dental implant configured to anchor into a bone at a dental surgical site;
(b) a prosthesis assembly, wherein the prosthesis assembly comprises:
(i) a base portion, and
(ii) a tooth portion attached to the base portion; and
(c) a dental implant surgical guide configured to attach to the dental surgical site, wherein the dental implant surgical guide comprises a first guide body defining a first guide channel dimensioned to receive a portion of the first dental implant assembly such that the first dental implant assembly may be anchored in the bone at the dental surgical site while the dental implant surgical guide is attached to the dental surgical site, wherein the first guide channel is sized to allow the first dental implant to pass through the first guide channel and align the first dental implant of the first dental implant assembly into the bone, wherein the dental implant surgical guide is configured to attach to the base portion of the prosthesis assembly after the first dental implant of the first dental implant assembly has been anchored into the bone at the dental surgical site.
1. A dental implant system, comprising:
(a) a first dental implant assembly comprising a first dental implant configured to anchor into a bone at a dental surgical site;
(b) a prosthesis assembly, wherein the prosthesis assembly comprises:
(i) a base portion, and
(ii) a tooth portion attached to the base portion; and
(c) a dental implant surgical guide configured to attach to the dental surgical site, wherein the dental implant surgical guide comprises:
(i) a first guide body defining a first guide channel dimensioned to receive a portion of the first dental implant assembly such that the first dental implant assembly may be anchored in the bone at the dental surgical site while the dental implant surgical guide is attached to the dental surgical site, wherein the first guide channel is sized to allow the first dental implant to pass through the first guide channel and thereby align the first dental implant of the first dental implant assembly into the bone, and
(ii) a support structure, wherein the first guide body is fixed to the support structure, wherein the support structure is configured to attach to the base portion of the prosthesis assembly after the first dental implant has been anchored into the bone at the dental surgical site.
17. A dental implant system, comprising:
(a) a plurality of dental implant assemblies each comprising a dental implant configured to anchor into a bone at a dental surgical site;
(b) a prosthesis assembly, wherein the prosthesis assembly comprises:
(i) a base portion, and
(ii) a tooth portion attached to the base portion; and
(c) a dental implant surgical guide configured to attach to the dental surgical site, wherein the dental implant surgical guide comprises:
(i) a plurality of guide bodies each defining a guide channel dimensioned to receive a portion of a respective dental implant assembly of the plurality of dental implant assemblies such that the each dental implant assembly may be guided and anchored in the bone at the dental surgical site while the dental implant surgical guide is attached to the dental surgical site, wherein each guide channel is sized to a respective dental implant of the plurality of dental implant assemblies to pass through the guide channel and thereby align the respective dental implant for placement into the bone, and
(ii) a support structure, wherein the plurality of guide bodies are fixed to the support structure, wherein the support structure is configured to attach to the base portion of the prosthesis assembly after each first dental implant of the plurality of dental implant assemblies have been anchored into the bone at the dental surgical site.
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This application is a Continuation Application of Applicant's Parent application Ser. No. 15/634,773, entitled “Implant-Based Attachment System for Dental Implant Surgical Guide and Method,” filed Jun. 27, 2017, which is a continuation of Ser. No. 14/487,075 filed in the U.S. Patent & Trademark Office on Sep. 15, 2014, which claims benefits and priority to U.S. Provisional Application 61/877,648, filed on Sep. 13, 2013.
The present invention may relate to the implant attachment systems for attaching dental implant surgical guides to dental implants. More specifically, the present invention may relate to those implant attachment means that are used on dental implant surgical guides that may be subsequently incorporated into dental prostheses.
Dental implant surgical guides may be used for the placement of implant drills, implant reamers, dental implants, and other dental implements at a dental implant site in a mouth of a patient to help ensure that such placed dental implements achieve the proper and desired telemetry and location. Similarly, dental implant surgical guides can be used in practice on a model of a patient's mouth to test the placement and positioning of dental implements. Normally after the implants (e.g., post-type implants) have been placed in the mouth through the use of the dental implant surgical guide, the dental implant surgical guide could be removed from the mouth and generally be discarded. In some dental implant/prosthesis surgeries, a connecting bar may be further attached to the dental implants to substantially form a bar/implant configuration for the dental prosthesis attachment. After suitable testing and fitting, a prosthesis may then be attached to the dental implants and/or connecting bar/implant configuration to secure the dental prosthesis in the patient's mouth.
It has been found that the dental implant surgical guide could be used to replace the connecting bar to save on costs and labor in the implant process. The dental implant surgical guide can be further incorporated into the dental prosthesis by attaching the dental implant surgical guide within an open channel in the bottom of the dental prosthesis or by generally being enclosed within the dental prosthesis interior formed by two halves of a prosthesis. Rather than discarding the dental implant surgical guide, the dental implant surgical guide can be added to the dental prosthesis structure to generally increase the structural integrity and load-carrying capacity of the dental prosthesis.
One possible issue with the incorporation of the dental implant surgical guide into the dental prosthesis could be the attachment of the dental implant surgical guides to the placed dental implants. Generally to control the telemetry and position of the implants, dental implant surgical guides may have guide cylinders forming double open-ended guide channels through which the dental implants may pass to be located to the respective dental surgical site (or dental surgical site model). As such, dental implant surgical guides when located over the dental implants may have an open area, the guide channel, that is directly located over the placed implant thereby generally eliminating any material (e.g., metal) that may rest upon and be subsequently used to attach the dental implant surgical guide to the implant.
One possible solution to this issue could the present invention's attachment system of an abutment, an implant mounting and a cap. The abutment and implant mounting being combined with an otherwise unsecured implant outside of the dental implant surgical guide (e.g., outside of the patient's mouth) to form an implant combination wherein the implant, implant abutment, and most of the implant mount are able to pass though the guide channel. The implant mount at its otherwise unattached end could have a rim with a greater diameter/circumference than that of the guide channel so that the rim cannot pass through the guide channel. In this implant combination, the implant mount may be attached to one abutment end of the abutment, the abutment may be attached by its other abutment end to the implant to create a generally an overall columnar form. The assembled implant combination can then be inserted into the respective guide channel of the surgical guide. The implant mount can be engaged by a tool (e.g., wrench) so the entire combination can be moved within the guide channel to substantially allow threads of the implant to substantially engage the prepared implant shaft at the dental implant site. As the implant combination is generally secured to the dental surgical site (or model thereof), the rim may be drawn into contact with the top of guide cylinder. In this manner, the rim overall anchors the dental implant surgical guide to the implant in a manner that resists those outward forces that may pull the dental implant surgical guide way from the dental implant.
The cap could be subsequently attached to the top of the guide cylinder to sandwich the rim between the guide cylinder and cap to substantially resist those forces which may direct the dental implant surgical guide towards the implant. This cap attachment action may also move the dental implant surgical guide up tight against the rim in a manner to further bring the dental implant surgical guide into a more complete alignment with the placed implants.
The various embodiments of the present invention may, but do not necessarily, achieve one or more of the following advantages:
the ability to attach a dental implant surgical guide to one or more dental implants to resist pressure upon the dental implant surgical guide that moves the dental implant surgical guide either towards or away from the one or more of the dental implants;
provide a system that attaches the dental implant surgical guide to the one or more implants to allow the dental implant surgical guide to support a dental prosthesis;
the ability to secure the dental prosthesis to the dental implant surgical guide as a way of attaching the dental prosthesis to the one or more dental implants;
provide a securing system that attaches the dental implant surgical guide to one or more implants in a manner that allows a dental prosthesis to connect to the dental implant guide as way of anchoring the dental prosthesis to a patient's mouth;
the ability to reuse a dental implant surgical guide to anchor an dental prosthesis to a patients mouth or a model of a patient's mouth or alike;
provide outside a patient's mouth, an implant combination, an implant mount connected to an abutment secured to an implant, the implant combination placed in the dental implant surgical guide and being rotated to attach the surgical guide to the implant;
provide a fastener-to-fastener connection to secure the dental implant surgical guide to the one or more dental implants;
the ability to place a cap over the implant mount to secure a rim of the implant mount in between the cap and the dental implant surgical guide in a manner that locks in a final positioning of the dental implant surgical guide to the one or more dental implants;
provide the cap that attaches to the dental implant surgical guide to bring the dental implant surgical guide into final and proper positioning relative to the one or more dental implants; and
the ability to attach the dental implant surgical guide to the one or more implants to allow the dental implant surgical guide to be encompassed by a dental prosthesis.
These and other advantages may be realized by reference to the remaining portions of the specification, claims, and abstract.
One possible embodiment of the invention could include a system for attaching a dental implant surgical guide to one or more dental implants comprising: an abutment capable of connecting to at least one of the one or more dental implants and to an implant mount; the implant mount having an implant mount body with a first mount end that connects accepts a portion of the abutment and a second mount end that has a rim that cannot pass through the dental implant surgical guide; and a cap that is comprised of a hollow cylinder with an enclosed cap end and an open cap end, the cap being capable of engaging a dental implant surgical guide so to sandwich the rim between the cap and the dental implant surgical guide.
Another possible embodiment of the invention could include a method of attaching a dental implant surgical guide to one or more dental implants comprising of the following steps, providing a dental implant that has a first implant end capable of attaching to a dental implant site and a second implant end capable of attaching to an abutment; providing a dental implant surgical guide comprising a guide body that defines a set of spaced-apart guide cylinders, each guide cylinder being penetrated by respective double open-ended guide channel; providing the abutment comprising an abutment body denoting a first abutment end that can attach to the implant and a second abutment end that can attach to an implant mount; providing the implant mount with a mount body forming a first mount end that can accept a portion of the abutment and a second mount end that has a rim that cannot pass through the guide channel; providing a cap that can attach to the dental surgical guide; forming an implant combination by attaching the abutment to the implant and by attaching the implant mount to the abutment; inserting the implant combination through a guide channel to allow the implant to come into contact with a dental surgical site; rotating the implant combination through the dental surgical guide to secure the implant to either the dental surgical site or the model of the dental surgical site; and attaching the cap to the dental surgical guide to sandwich the rim between dental surgical guide and the cap.
Still yet another embodiment of the invention could be a combination of a dental implant surgical guide connected to one or more dental implants comprising the dental implant surgical guide having a body forming a set of spaced-apart guide cylinders, each guide cylinder denoting a double open-ended guide channel through which the dental implant is passed through to attach to a dental surgical site; an implant combination that is comprised of one dental implant of the one or more implants, the one dental implant attaches to an abutment, the abutment being attaches to an implant mount, the implant mount having one mount end that forms a rim that can rest against the respective guide cylinder; a cap that fits over the rim to attach to the respective guide cylinder; wherein the implant combination is inserted into and rotated within the respective guide cylinder's guide channel to anchor the dental implant of the implant combination to dental implant surgical guide.
The above description sets forth, rather broadly, a summary of one embodiment of the present invention so that the detailed description that follows may be better understood and contributions of the present invention to the art may be better appreciated. Some of the embodiments of the present invention may not include all of the features or characteristics listed in the above summary. There are, of course, additional features of the invention that will be described below and will form the subject matter of claims. In this respect, before explaining at least one preferred embodiment of the invention in detail, it is to be understood that the invention is not limited in its application to the details of the construction and to the arrangement of the components set forth in the following description or as illustrated in the drawings. The invention is capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purpose of description and should not be regarded as limiting.
In the following detailed description of the preferred embodiments, reference is made to the accompanying drawings, which form a part of this application. The drawings show, by way of illustration, specific embodiments in which the invention may be practiced. It is to be understood that other embodiments may be utilized and structural changes may be made without departing from the scope of the present invention.
The present invention 10 could comprise an attachment system 20 and method or process 200 for operating same to attach a dental implant surgical guide to one or more dental implants located at a dental surgical site in a patient's mouth. The employment of the attachment system could allow the dental implant surgical guide to anchor a dental prosthesis to a patient's mouth.
As substantially shown in
As substantially shown in
As substantially shown in
As shown in
As substantially shown in
The first fastener 40 could be a threaded fastener and have a first fastener head 42 being large enough so that the first fastener head 42 does not pass through the abutment body 32. The first fastener 40 could be further capable of engaging the implant aperture 112 (e.g., threaded) of an implant recess 108 to initially secure the abutment 40 to the dental implant 100. In one possible embodiment, the first threaded fastener 40 could be generally held captive by the abutment body 32 for safety and efficiency reasons. The first fastener 40 could further be a bolt wherein the bolt's head is shaped with flats for removable engagement by a suitable wrench (not shown). The first fastener head 42 could further feature an open-ended fastener recess 44 to which a second fastener 68 could be attached and generally allowing for the attachment of the implant mount 50 to the abutment 30 (as substantially shown in
As substantially shown in
The second mount end 58 could have a mount depression 60 that could accommodate the second fastener head 70 so that second fastener head 70 may not protrude above the second mount end 58 when the second fastener 68 is connected to the first fastener 40. The mount depression 60 could be further suitably fashioned to removably accept a tool 14 that can rotate the assembled or completed implant configuration 90 relative to the dental surgical guide 120, as well as implant shaft 18 (as substantially shown in
The second mount end 58 may have an outwardly projecting protrusion such as a lip or rim 62 whose overall size is too large to allow the rim 62 fit into or through the guide channel 128 but the remainder of the mount body 52 is sized to pass though the guide channel 128. The rim 62 could have a rim circumference 64 that is generally greater than the circumference of the guide channel 128 but not greater than the circumference of the guide cylinder top 126 to provide sufficient implant mount retention capability.
The second fastener 68 could be also threaded (e.g., be a threaded bolt) and have a second fastener head 70 being large enough so that the second fastener head 70 does not pass through the mount body 52. The second fastener 68 could be further capable of engaging the fastener recess 44 so as to connect (e.g., removably) the second fastener 68 to the first fastener 40. This fastener-to-fastener connection could allow the implant mount 50 to be removably attached to the abutment 30 and further provide for the unification of the implant mount 50, abutment 30 and dental implant 100 when assembled into the implant combination 90 outside the patient's mouth. In this manner, the assembled implant combination 90 can then be inserted into the guide channel 128 and rotated as an single unit to drive and anchor the dental implant 100 into a previously prepared dental surgical site 12 (e.g., implant shaft 18) and to generally bring the rim 62 into contact with the guide cylinder 124 (as substantially shown in
As substantially shown in
The cap 72 could further have a suitable cap fixture 84 (e.g. such as a hexagon-shaped tool aperture in the center of the enclosed end 76) that can accept a suitable tool (e.g., a wrench—not shown) that can be used to attach (e.g., rotate) the cap 72 onto the dental implant surgical guide 120. In some embodiments, the cap 72 may be removably attached to the dental implant surgical guide 120.
As substantially shown in
As substantially shown in
As substantially shown in
The cap attachment could be one of the last steps under taken prior to the attachment of the prosthesis 140 to the dental implant surgical guide 120. In that manner, the attachment of caps 72 to the respective implant combinations 90 as place through the guide channels 128 of the dental implant surgical guide 120 could be accomplished using an alternating sequence, such as tightening first the caps 72 located proximate to the back of the mouth 16 and moving towards those caps 72 located proximate to the front of the mouth 16.
As substantially shown in
As substantially shown in
In step 204, the assembling of the implant combination, the abutment can be first attached to the implant with the first abutment end being placed into the implant recess for a generally conical fit that can result in a taper interference fit or Morse's taper connection. The first fastener movably located through the abutment can then attach to the implant aperture at the tip of the conical fit to further hold the abutment and implant together. The implant mount can be connected to the abutment by placing the second abutment end within the abutment cavity of the implant mount so that the flats of the abutment cavity may be aligned with the flats of the second abutment end. The second fastener, movably located in the implant mount, may removably attach to the head of the first fastener to generally hold the implant mount in place upon the second abutment end and to generally complete the assembly of the implant combination. Depending on the number of dental implants that are needed, this step can be repeated several times to complete several implant combinations. Once this step is substantially completed, process 200 could proceed to step 206, placing the dental implant.
In step 206, placing the dental implant, the implant combination could be guided through the guide cylinder top to pass at least a portion of the implant combination through a respective guide channel (and through the bottom prosthesis half). The tip of the implant could initially engage the respective previously prepared implant shaft at the dental surgical site. If an implant analogue is used instead of the dental implant in the assembly of the implant combination, the implant analogue could be directed to an implant analogue shaft at a dental surgical site model. A suitable tool could be attached the second mount end (e.g., a wrench attached to the mount fixture) and the operator such as a dental health care professional can rotate the entire implant combination within the guide cylinder to drive the implant (e.g., or implant analogue) into the implant shaft. Once the implant and hence implant combination is firmly and properly seated within the dental surgical site, the step can be repeated for each additional implant combination that needs to be attached to the dental surgical site (or the dental surgical site model). Generally during this action, the second mount end is substantially brought into closer proximity to the respective cylinder, namely the rim may make contact with guided cylinder top. As this step is substantially completed, the process 200 may proceed to step 208, making adjustments.
In step 208, making adjustments, this is an optional step wherein the implant mount may need to be released from a placed implant combination to allow for removal of the dental implant surgical guide (prosthesis bottom half) from the implant combination. In such a situation, the second fastener may be disconnected from the first fastener so that the implant mount may be removed from the abutment. Depending on the number of implant combinations being located at that time, their respective implant mounts may need to be removed to allow for the full detachment of the dental implant surgical guide from the dental surgical site (or the dental surgical site model).
Once the adjustment, correction, fitting, or the alike has been be made, the dental implant surgical guide could be replaced over the abutments and the implant mounts could be suitably reattached to their respective abutments. This step can be repeated as needed to make the many adjustments, corrections, fittings, or the alike as needed. Once this step is substantially completed, the process 200 could proceed to step 210, fitting the cap.
In step 210, fitting the cap, the cap could be applied to a respective guide cylinder. A suitable tool (e.g., wrench) could be applied to mount fixture on the cap's enclosed end. The cap open end could be directed to and engage the top of the respective cylinder (e.g., the cylinder substantially holding the placed implant combination) so that the cap locking interface (e.g., cap threads) can engage the guide cylinder's locking interface (guide threads). Once the cap has fully engaged the guide cylinder, the tool can be removed. For multiple cap/guide cylinder applications, the caps can be applied and tighten in sequenced order that substantially eliminates possible warped placement of the dental implant surgical guide to the implants and to generally ensured dental implant surgical guide achieves the desired telemetry and position relative to the implants (and patient's mouth).
It should be noted that if needed the caps could be removed from guide cylinders, the implant mounts from the abutments, to release the dental implant surgical guide from the implants (or implant analogues).
As this step is substantially completed, the process 200 could proceed to step 212 attaching the prosthesis. In one version of the prosthesis, the dental implant surgical guide could be attached to the base channel. For the encapsulating or enveloping prosthesis, the prosthesis top half could be attached to the combined dental implant surgical guide and prosthesis bottom half to secure and envelope the dental implant surgical guide within the prosthesis. At the substantial completion of this step, the process 200 could proceed back to step 202 as needed.
Although the description above contains many specifications, these should not be construed as limiting the scope of the invention but as merely providing illustrations of some of the presently preferred embodiments of this invention. Thus, the scope of the invention should be determined by the appended claims and their legal equivalents rather than by the examples given.
As substantially shown in the drawings and generally described in the description, the invention could be a system for attachment of a dental implant surgical guide to one or more implants that allow the dental implant surgical guide to support a prosthesis and secure the prosthesis to the patient's mouth. The system could provide an implant combination that can be used to rotate an implant into place in a dental surgical site. In doing so the implant combination can bring a rim from the implant combination into contact with the guide cylinder top of the dental implant surgical guide. A cap attaching to the rim and dental implant surgical guide can then lock the dental implant surgical guide in place with one or more implant combinations to appropriately attach the dental implant surgical guide to the patient's mouth, allowing the dental implant surgical guide to anchor and support a dental prosthesis.
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